Individual
SHAHID MEHBOOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
60 MAPLE RD, SUITE # 1, WILLIAMSVILLE, NY 14221-2917
(716) 626-5250
(716) 332-2218
Mailing address
60 MAPLE RD, SUITE # 1, WILLIAMSVILLE, NY 14221-2917
(716) 626-5250
(716) 332-2218
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
248281
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00026339201
UNIVERA/EXCELLUS
NY
01
—
000527204001
BC/BSOF WNY
NY
05
—
02396963
—
NY
01
—
2311607
IHA
NY
Enumeration date
08/09/2006
Last updated
01/30/2015
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